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This form is used to notify the Australian Securities & Investments Commission (ASIC) of changes to company details such as ceasing or appointing officeholders, changing company address or name, canceling or issuing shares, and other relevant corporate changes.
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How to fill out form 484

01
Obtain Form 484 from the relevant authority or website.
02
Start filling out your personal information in the designated fields, such as your name, address, and contact information.
03
Provide any required identification numbers, such as Social Security Number or Tax Identification Number.
04
Fill out the specific details pertaining to the purpose of the form as outlined in the instructions.
05
Review each section to ensure all information is accurate and complete.
06
If applicable, attach any required supporting documents as indicated in the form's instructions.
07
Sign and date the form at the bottom where indicated.
08
Make a copy of the completed form for your records before submitting it.
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Submit the form to the specified address or online portal as instructed.

Who needs form 484?

01
Individuals or entities that are required to report specific information to the regulatory authority or organization.
02
Persons applying for certain licenses or permits that require submission of Form 484.
03
Organizations needing to disclose operational information in compliance with regulations.
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Form 484 is a document used in the context of healthcare and regulatory compliance, specifically for reporting information related to home health agencies and some other healthcare services.
Home health agencies that participate in Medicare and Medicaid programs are typically required to file Form 484 to report their operational information.
To fill out Form 484, providers must enter specific information regarding their organization, services offered, and patient demographics, following the provided instructions carefully to ensure accuracy.
The purpose of Form 484 is to collect standardized information about the services provided by home health agencies to ensure compliance with federal regulations and to facilitate program oversight.
The information required on Form 484 includes details about the agency's name, address, service types offered, patient counts, and other relevant operational data.
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